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Annular Pancreas

At GastroDoxs in Houston, our expert team offers comprehensive diagnosis and treatment for annular pancreas, a rare congenital condition that can cause digestive blockages, ensuring personalized care and advanced minimally invasive techniques tailored to Houston patients unique gastrointestinal health needs.

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Bharat Pothuri
Symptoms

What Is Annular Pancreas?

Annular Pancreas is a congenital (birth) defect in which a ring of pancreatic tissue encircles and may constrict the duodenum (the first part of the small intestine). This abnormal ring can block or narrow the intestine, leading to feeding and digestive issues in newborns and gastrointestinal symptoms in older children or adults.

Common Symptoms

Symptoms can vary by age but often include:

  • Newborns:
    • Vomiting (often after feeding)
    • Swollen or distended belly
    • Excess amniotic fluid in pregnancy (polyhydramnios)
  • Older Children & Adults:
    • Ongoing nausea or vomiting
    • Feeling of fullness, bloating, or early satiety
    • Abdominal (belly) pain or discomfort
    • Poor appetite or unexplained weight loss

Causes

This condition develops during fetal growth when the pancreas normally forms from two separate buds that should fuse and rotate away from the duodenum. In Annular Pancreas, the rotation process goes awry, causing pancreatic tissue to wrap around the intestine rather than moving to its usual position.

  • Abnormal embryologic rotation of the pancreatic buds
  • Possible genetic factors or small mutations affecting pancreatic development
Treatment

Treatment Options for Annular Pancreas in Houston

Treatment includes medical management and surgical procedures:

  • Dietary adjustments: Small, frequent meals and a low-fat diet to ease digestion and reduce symptoms.
  • Medications for nausea and vomiting: Anti-emetics to control vomiting and improve comfort.
  • Nutritional monitoring: Close growth and feeding assessments for infants to ensure proper weight gain and hydration.
  • Duodenoduodenostomy: Creating a bypass between two parts of the duodenum to relieve the obstruction.
  • Gastrojejunostomy: Connecting the stomach directly to the jejunum to circumvent the blocked segment.
  • Laparoscopic techniques: Minimally invasive approaches for faster recovery, less pain, and smaller scars.
  • Postoperative imaging: Follow-up CT scans, ultrasounds or endoscopic studies to confirm relief of obstruction and healthy healing.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnostics and effective treatment for annular pancreas and related gastrointestinal conditions. Our approach is rooted in compassionate, personalized care to help you achieve long-term relief and improved quality of life. Book your appointment today and let our Houston team guide you or your child through every step of diagnosis, treatment, and recovery.

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We've successfully treated more than 1k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How is Annular Pancreas diagnosed?

Annular Pancreas is typically diagnosed using imaging studies such as a CT scan or endoscopic ultrasound. In some cases, an MRI, abdominal ultrasound, or upper endoscopy may also be used to confirm the presence of the pancreatic ring around the duodenum.

Can Annular Pancreas resolve on its own?

Mild cases of Annular Pancreas that do not cause significant blockage or symptoms may be managed conservatively with diet modifications and monitoring. However, any severe obstruction or persistent symptoms generally require surgical intervention for relief.

What is duodenal atresia and how is it related?

Duodenal atresia is a congenital condition in which part of the duodenum is completely blocked or absent. It often occurs alongside Annular Pancreas, compounding feeding and digestive difficulties in affected newborns.

Does polyhydramnios always indicate Annular Pancreas?

No. Polyhydramnios-excess amniotic fluid during pregnancy-can result from various fetal or maternal conditions. While it is one potential sign of Annular Pancreas, further testing is required to determine the exact cause.

At what age do symptoms of Annular Pancreas appear?

Many infants with significant obstruction show symptoms such as vomiting and abdominal distension shortly after birth. However, some individuals have a milder form that may not be recognized until childhood or even adulthood, when digestive discomfort or nausea arises.

Is surgery safe for babies with Annular Pancreas?

Yes. Surgical correction-often performed laparoscopically-is generally considered safe for newborns. Most infants recover quickly, resume feeding within days, and experience low rates of complications.

How long is the recovery period after surgery?

Recovery typically takes two to four weeks. Many patients begin eating small amounts by mouth within a few days post-operation and can gradually return to a normal diet as tolerated.

Will I need follow-up care after treatment?

Some patients require follow-up visits, especially if symptoms persist or recur. However, most people who undergo successful surgery for Annular Pancreas experience long-term relief and do not need extensive ongoing care.

Can dietary changes help manage symptoms?

Yes. For mild cases or during postoperative recovery, smaller, more frequent meals and limiting high-fat foods can ease digestion and reduce discomfort.

How do I find a specialist in Houston?

To consult with a board-certified gastroenterologist experienced in rare GI conditions, call GastroDoxs in Houston. Our team provides comprehensive evaluation, treatment planning, and compassionate care for all ages.

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